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About Neal S. Topham, MD, FACS

Neal Topham is the Chief of Plastic and Reconstructive Surgery at Fox Chase Cancer Center. He specializes in reconstructive surgery for patients with sarcoma, melanoma, non-melanoma, head and neck cancer and breast cancer.
http://www.fccc.edu/physicians/surgical/topham.html

Techniques in nipple tattooing are rapidly improving and give patients reconstructive options that were previously not available. In most cases, tattooing is performed three months after the nipple has been surgically created on the reconstructed breast to allow for healing of the nipple wound. Tattooing at earlier time points may result in poor pigment...

The nipple and areola are key elements of the reconstructed breast after mastectomy and are essential in restoring the breast to its natural form. Many patients have questions about how and when the nipple and areola are reconstructed. The first step in breast reconstruction is to create a breast mound. This is accomplished using...

Women seeking options for breast reconstruction for mastectomy should be offered the option of using tissue from the abdominal wall for unilateral or bilateral breast reconstruction. For patients desiring a more natural reconstruction, with the best cosmetic appearance and texture the abdomen is a very good option. Many women develop excess skin and fat...

As chief of plastic and reconstructive surgery at Fox Chase Cancer Center, I meet many patients who are about to have a mastectomy and have lots of questions. They want to understand their breast reconstruction options so they can decide which is best for them. Here is what I tell them: There are three...